Yala sugunɛbilenni kunbɛnni bɛ ban ka a sababu kɛ gɛlɛya ye min bɛ farikolo yɔrɔw la wa? An ka kuma (Ville neurogénique) kan .

A ka c’a la, koli nege bɛ an na, wa an b’a kunbɛn ka kɔnɔni kɛ fo ka taa sanuyaso la. O bɛɛ bɛ kɛ jɛɲɔgɔnya kabakoma dɔ fɛ an hakili, kɔkolo, nɛrɛmugu ani sugunɛ cɛ, minnu bɛ baara kɛ i n’a fɔ ɔridinatɛri. Nka i ka miiri min bɛna kɛ ni an ma se ka sugunɛ kɛcogo tiɲɛ ka da gɛlɛya dɔ kan min bɛ farikolojidɛsɛ la min bɛ o cikanw ta. An bɛ o de wele furakɛli siratigɛ la ko ‘Sugunɛbilenni min bɛ wele ko Neurogenic Bladder’.

N’an y’a fɔ cogo nɔgɔman na, Sugunɛbilenni ye mun ye?

Farikoloɲɛnajɛ bɛ cikanw ci, i n’a fɔ kuran taamasiɲɛw, an farikolo bɛɛ la. O farikolo-ɲɛnajɛ in bɛ Kɛ yɔrɔba saba ye:

• Kunsɛmɛ
• Kɔnɔbara basigilen
• Nɛrɛmuguma

O nɛrɛmuguma ninnu bɛ taamasiɲɛ ci i kunkolo ma ko i ka sugunɛ falen don. O kɔ, taamasiɲɛ dɔ bɛ bɔ i hakili la, o bɛ ci bila ka segin i ka sugunɛ na k’a fɔ ko: “Sisan de ye koli waati ɲuman ye.” Ni o taamasiɲɛ in sɔrɔla, sugunɛbaralabana fasaw bɛ sɔgɔsɔgɔ ani sugunɛ bɛ bɔ.

Bana min bɛ wele ko Neurogenic Bladder, o taamasiɲɛw bɛ tiɲɛ ka a sababu kɛ bana dɔ ye min bɛ kɛ kunsɛmɛ na, kɔkolo walima nɛrɛmuguma. O bɛ se ka kɛ sababu ye ka sugunɛbilenni kunbɛn pewu. O kɔrɔ ye ko sugunɛ bɛ baara kɛ kojugu walima a ka baara bɛ tiɲɛ.

Sugunɛbilenni suguya fila bɛ yen minnu bɛ wele ko Neurogenic Bladder:

Sugunɛbilenni bɛ se ka tila suguya belebele fila ye, ka kɛɲɛ ni farikolojidɛsɛ suguya ye min bɛ a lase mɔgɔ ma. Ni aw ye o faamu, o bɛ se ka aw dɛmɛ ka aw ka bana taamasiɲɛw faamuya ka ɲɛ.

Nin bana in taamasiɲɛw ye jumɛnw ye?

Sugunɛbilenni taamasiɲɛ min ka teli ka kɛ, o ye sugunɛ kunbɛnbaliya ye. Nka, a taamasiɲɛw bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni i ka suguya ye.

Mun na o bɛ ka kɛ? O kunw ye mun ye?

Fɛn damadɔ bɛ yen minnu bɛ se ka kɛ sababu ye ka Sugunɛbilenni bila mɔgɔ la. Dɔw ye bangenenw ye, dɔw bɛ se ka sɔrɔ banaw walima kasaaraw fɛ minnu bɛ kɛ kɔfɛ ɲɛnamaya kɔnɔ.

Bange sababu minnu bɛ se ka sɔrɔ:

• Kɔnɔbara basigilen : O ye kɔkolo gɛlɛya ye min bɛ sɔrɔ bange waati.
• Kunsɛmɛnasumaya: Bana min bɛ nɔ bila kunsɛmɛ yiriwali la.
• Caudal regression syndrome : Kɔkolo duguma yɔrɔ bonyabaliya.

Kun minnu bɛ se ka kɛ sababu ye ka a daminɛ kɔfɛ:

• Central nervous system tumors: Kansɛri walima kuru wɛrɛ minnu bɛ sɔrɔ kunsɛmɛ na walima kɔkolo la.
• Sklerose multiple (MS): Bana don min bɛ farikolo yɔrɔw tiɲɛ.
• Parkinson ka bana : O ye bana ye min bɛ farikolojidɛsɛbanakisɛw minɛ kunsɛmɛ na.
• Sɔgɔsɔgɔninjɛ: Joli bɔli dabila ka taa kunsɛmɛ na.
• Kɔkolo joginw: K’a sababu kɛ binkanni, mobili kasaara, a ɲɔgɔnnaw ye.
• Sukarodunbana : Sukarodunbana min tɛ se ka kunbɛn waati jan kɔnɔ, o bɛ se ka farikolojidɛsɛ bila mɔgɔ la.

Kɔnɔnatumu minnu bɛ se ka sɔrɔ (gɛlɛyaw) .

Ni sugunɛbaralabana ma furakɛ ka ɲɛ, a ka teli ka kɛnɛya gɛlɛya wɛrɛw lase mɔgɔ ma.

• Sugunɛ tiɲɛni : Degun bɛ bonya sugunɛ na ka a sababu kɛ sugunɛ minɛni ye, wa o degun bɛ se ka nɔ bila sugunɛ na.
• Sugunɛbilenni minnu bɛ kɛ tuma caman (UTI): Ni aw ma sugunɛ lankolonya pewu, o bɛ sigida ɲuman di banakisɛw ma.
• Sugunɛbilenni : Kabakuruw bɛ se ka bɔ sugunɛ walima sugunɛ na.
• Vesicoureteral reflux : Nin ye bana ye min farati ka bon, sugunɛ bɛ segin kɔ ka bɔ sugunɛ na ka taa sugunɛ na.

Ka fara o farikolo gɛlɛyaw kan, hakili ta fan fɛ nɔba bɛ se ka kɛ . Sugunɛ bɔli siranya bɛ se ka kɛ sababu ye ka siran ka kɛ mɔgɔw fɛ walima ka taa taamaw la. O bɛ se ka kɛ sababu ye ka jɔrɔ, ka degun ani ka kɛ kelenna ye . Ni o dusukunnataw bɛ aw la, aw kana maloya ka kuma aw ka dɔgɔtɔrɔ fɛ o ko la.

Dɔgɔtɔrɔ bɛ nin bana in sɛgɛsɛgɛ cogo di?

Ni aw taara dɔgɔtɔrɔso la, a bɛna aw ka bana taamasiɲɛw lamɛn kosɛbɛ. O kɔ, u bɛna i sɛgɛsɛgɛ. Ni siga bɛ a la ko sugunɛbaralabana dɔ bɛ a la, u bɛna sɛgɛsɛgɛli kɛrɛnkɛrɛnnen dɔw kɛ minnu bɛ tali kɛ farikolojidɛsɛ ni sugunɛ na.

• Sistoscopie : Sugunɛbilenni ni sugunɛbara kɔnɔna sɛgɛsɛgɛli ni kamera finman ye min bɛ i n’a fɔ tubabu.
• Jaa sɛgɛsɛgɛliw:Sɛgɛsɛgɛliw i n’a fɔ CT scan, MRI scan ani ultrasound.
• Urodinamiki sɛgɛsɛgɛli : Nin ye sɛgɛsɛgɛli ye min kɛrɛnkɛrɛnnen don dɔɔni. A bɛ sugunɛ hakɛ jateminɛ aw ka sugunɛ bɛ se ka min minɛ, degun min bɛ sugunɛ kɔnɔ, sugunɛ bɔli teliya, ani sugunɛ bɛ lankolonya cogo min na.

Nin sɛgɛsɛgɛliw kɔfɛ, aw bɛ se ka taa dɔgɔtɔrɔso la min ka baara ɲɛsinnen bɛ sugunɛ ni sugunɛ kɛcogo ma, o ye sugunɛbilennikɛla ye .

O furakɛcogo jumɛnw bɛ yen?

Furakɛli bolodacogo bɛ dɔn ka kɛɲɛ ni aw ka bana sababu ye ani aw ka bana taamasiɲɛw cogoya.

1. Yɛlɛma donna ɲɛnamaya kɛcogo la

Fɔlɔ, dɔgɔtɔrɔ b’a ɲini k’o kunbɛn ni fɛn nɔgɔmanw ye.

• Aw bɛ aw yɛrɛ tanga dumuniw ni minfɛnw ma minnu bɛ sugunɛbaralabana (kafe, dɔlɔ, minfɛn gazimaw).
• Kɔnɔboli kunbɛnni: Kɔnɔboli fana bɛ se ka degun bila sugunɛ na.
• Sugunɛbilenni degeliw : A ɲininen bɛ aw fɛ aw ka koli kɛ waati minnu na, aw bɛ koli hakɛ min kɛ, ani koli fɛn o fɛn bɛ kɛ aw yɛrɛ sago la, aw ka o sɛbɛn. O bɛna aw dɛmɛ ka koli dege a waati bɛnnen na.
• Kegel degeliw : Nin degeliw bɛ basibɔn fasaw barika bonya ani u bɛ se ka sugunɛ kunbɛncogo ɲɛ.

2. Fura minnu bɛ kɛ

Fura suguya caman bɛ yen minnu bɛ se ka sugunɛ fasaw lafiya walima ka kɔnɔboli lawuli. Misali la, dɔgɔtɔrɔ bɛ se ka furaw di aw ma i n’a fɔ Oxybutynin, Tolterodine ani Mirabegron.

3. Katetɛri tali

Nin fɛɛrɛ in nafa ka bon kosɛbɛ ni sugunɛ tɛ lankolonya ka ɲɛ.

• Yɛrɛlabɔli : Aw bɛna aw kalan aw ka sugunɛ lankolonya pewu ni tubabufura sanuman fitini ye (katetɛri) siɲɛ caman tile kɔnɔ. A bɛ se ka kɛ ko o ka gɛlɛn a daminɛ na, nka a bɛna nɔgɔya kosɛbɛ ni aw delila a la.
• Katetɛri tali kɛli tuma bɛɛ : Tuma dɔw la, a bɛ se ka kɛ ko a ka kan ka kɛ ka katetɛri kɛ ka taa a fɛ.

4. Furakɛli ni opereli wɛrɛw

Ni furakɛli wɛrɛw ma ɲɛ, aw ka dɔgɔtɔrɔ bɛ se ka ninnu jateminɛ:

• Botokisi pikiriw : Botokisi pikiri bɛ kɛ sugunɛbaralabana fasaw la walasa u kana sɔgɔsɔgɔ kojugu.
• Operelikɛyɔrɔ:Opereli min bɛ kɛ walasa ka dɔ fara sugunɛbara seko kan (augmentation cystoplastie) walima opereli min bɛ kɛ ka sugunɛ kɛcogo Changer (suline diversion) o bɛ se ka kɛ wajibi ye ko minnu man teli ka kɛ.

Aw ka dɔgɔtɔrɔ bɛna baro kɛ ni aw ye ani ka a latigɛ furakɛli min ka fisa aw ma.